Organization
MAXIMUM MEDICAL IMPROVEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA M WRYE (ADMINISTRATOR ASSISTANT)
(972) 234-6600
Entity
Organization
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8100
Mailing address
11815 FORESTGATE DR, DALLAS, TX 75243-5414
(972) 234-6600
(972) 234-2522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164759601
—
TX
Enumeration date
05/17/2006
Last updated
07/15/2010
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